Migrated stent retrieved via oral double-balloon enteroscopy

Laith_JamilPost written by Laith H. Jamil, MD, FASGE, FACG from Cedars Sinai Medical Center in Los Angeles, California, USA.

An 18 mm X 12 cm covered esophageal stent migrated into the mid-distal jejunum and did not migrate further for 4 weeks. The patient remained asymptomatic thus it was felt safe to attempt to remove the stent via endoscopy. An oral double-balloon enteroscopy was performed to reach the stent. Once it was removed through the overtube, the scope was re-advanced through the overtube to the area where the stent was. Contrast injection confirmed no extravasation. A tattoo mark was performed as a future reference in the event an adverse event were to happen.

I felt it was important to demonstrate in this video how to safely remove foreign objects that have migrated into the small bowel, possibly avoiding surgery.

If an esophageal stent migrates into the small bowel and does not pass spontaneously then an attempt in removing it via double-balloon enteroscopy should be considered if the patient is asymptomatic and there are no symptoms or signs suggesting an adverse event such as an obstruction or perforation.

Read the full article here.

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